NTRS4130 Three Day Food Recall Paper Identify a pregnant or breastfeeding woman, an infant (over the age of 1), or a child.Ask them, or their parent, to ke

NTRS4130 Three Day Food Recall Paper Identify a pregnant or breastfeeding woman, an infant (over the age of 1), or a child.Ask them, or their parent, to keep a 3-day food journal.Once this is done, do an interview with the woman (if pregnant or nursing) or the parent/ caregiver to gather dietary information and to find out if there are any issues.Include a copy of the 3-day food journal with your write-up.Analyze it using https://www.myfitnesspal.com/ and do a 3 page (maximum) write up of the results.Upload your final assignment to Canvas by the deadline.The assignment must be typed, double-spaced and professionally presented.Please no folders.Make sure your name is on the assignment, preferably in the header.If the assignment is late, 5 points will be deducted for each day after the assignment is due. NTRS 4130 Maternal and Infant Nutrition
Food Recall and Write-Up
Identify a pregnant or breastfeeding woman, an infant (over the age of 1), or a child.
Ask them, or their parent, to keep a 3-day food journal. Once this is done, do an
interview with the woman (if pregnant or nursing) or the parent/ caregiver to gather
dietary information and to find out if there are any issues. Include a copy of the 3-day
food journal with your write-up. Analyze it using https://www.myfitnesspal.com/ and do
a 3 page (maximum) write up of the results. Upload your final assignment to Canvas
by the deadline. The assignment must be typed, double-spaced and professionally
presented. Please no folders. Make sure your name is on the assignment, preferably
in the header. If the assignment is late, 5 points will be deducted for each day after the
assignment is due.
Instructions:
• Step A: Have the pregnant or breastfeeding woman, or the caretaker of a child,
record their dietary intake for a three-day period, using 2 weekdays and 1
weekend day. Ask them to try not to change their usual eating behavior just
because they are recording. Record anything that they consume including
condiments, mints, diet sodas, water, and gum.
• Step B: Create a profile for them at https://www.myfitnesspal.com/ and enter
their 3-day intake.
View Full Report once you are done entering everything. Look at each day and
compare the information from day to day. Use this report to complete the write
up.
• Step C: Write-Up: Please answer the following questions (all parts of the
question) to complete your assignment. Provide short, well thought out and clear
answers. Start by introducing us to the person. However, do not use their first
and last name. Initials are okay. Analyze the results from Myfitnesspal, keeping
in mind that over the three days, variability will probably occur. You may
generalize your responses over the results from the 3 days. Then, answer
these questions:
1. How does their daily nutrient intake compare with recommended ranges for
calories, carbs, fat, protein, cholesterol, sodium, sugar, fiber and fat?
2. If not, what are they missing and what are some specific and practical
suggestions to resolve any inadequacies? List at least 3 suggestions.
3. Weight and Energy Balance: Determine their current BMI.
a. If your write up is of a pregnant or nursing woman, what was her BMI before
pregnancy and is she gaining an appropriate amount of weight so far? PLOT
ON THE WEIGHT GAIN CHART FOR A PREGNANT WOMAN.
b. For the breastfeeding mom, how is her weight postpartum compared to her
pre-pregnancy BMI and her final pregnancy weight. PLOT HER PREPREGNANCY WEIGHT AND FINAL WEIGHT ON THE WEIGHT GAIN
CHART FOR A PREGNANT WOMAN.
c. If your write up is of a child, make sure to use the CDC growth charts to
determine what percentile their BMI is. Is it in the acceptable range? PLOT
ON THE APPROPRIATE CDC GROWTH CHART.
For everyone: List 3 strategies that will maintain, increase, or reduce their
present weight, depending on their personal needs.
•
Step D: After you complete the diet analysis, you should share the results with
the person. It would probably be most helpful to print out an extra copy of the
data from MyFitnesspal for them. Remember, you are not an RD (yet!) and are
not able to give advice. You may, however, share with them what you have
found and have THEM come up with any changes they would like to make. If
they want further help, direct them to www.eatright.org to find an RD for them to
see. You may also direct the to www.choosemyplate.gov for additional
suggestions.
Ask them the following questions and include it in the write-up:
4. Is this typically the way you (for the pregnant or nursing mother) or your child
eats?
5. What, if any, changes would you like to make to the way you are eating and
how do you think you will go about making these changes?
Please print the cover sheet and attach it to the front of your final report. Please check
off that you have included each component. Reports that have grammar or punctuation
issues (more than 3 per page) will have at least one letter grade deducted. Five points
will be deducted for each day late work is turned in after the assignment is due.
Interview and Food Recall
NTRS 413
May 27, 2009
DSR is a 14 year-old female, who is 5 feet 2 inches tall and weighs 172 pounds. She
recorded a food journal over the course of three days, from Thursday, May 14th through
Saturday, May 16th. During those days, DSR recorded everything she consumed including
beverages such as water and soda. She kept a handwritten record that she carried with her during
the day, and then typed the food list into the computer to send via email. After receiving the
email, a phone interview was conducted to clarify certain aspects of the food recall where
inadequate details were provided. For example, DSR recorded eating a cheeseburger for lunch.
Further dialog revealed that this was an “In -n-Out” cheeseburger, including the bun, burger and
cheese only, with no condiments or additions such as lettuce or tomato. Once clarifications were
made, the intake was entered into the Diet Analysis Plus program for analysis. Printouts of the
diet analysis are attached.
For carbohydrates, the recommended intake is 45-65% of kilocalories or 223-322 grams
per day, based on a total intake of 1980 kilocalories. The three-day average intake for
carbohydrates for DSR was 242 grams, which is within the appropriate range. The carbohydrate
intakes for each of the individual days were also within the recommended range. The
recommended intake for protein is 10-35% of kilocalories, or 50-173 grams per day. DSR’s
average intake of protein over the three days was 74 grams, which is within the recommended
range. Protein intakes for the individual days were also within range. Recommended fat intake
is 10-35% of kilocalories, or 44-77 grams per day. The three-day average intake for DSR was 68
grams, which is within the range but toward the high end. Fat intakes for Thursday and Friday
were within range; however, the total fat intake for Saturday was 78 grams, which is over the
recommended 35% of kilocalories.
Intake for many of the micronutrients fell below 80% of the recommended amount.
Using the three-day average, deficient micronutrients include thiamin (53%), vitamin B6 (78%),
folate (23%), vitamin C (34%), vitamin D (4%), vitamin A (52%), vitamin E (8%), calcium
(44%), iron (53%), magnesium (30%), potassium (19%), and zinc (72%). A few relatively
simple dietary changes could be made to address these deficiencies. First, the current diet
contains no fruits and very few vegetables. The addition of 5 servings of fruits and vegetables a
day would improve vitamin C, vitamin A, folate, and potassium intake. Consuming a variety of
fruits and vegetables would be ideal for improving intake on a variety of micronutrients. Orange
vegetables and dark green, leafy vegetables should be emphasized to improve vitamin A intake.
Also, substituting vitamin D fortified 1% milk for at least 2 cups of the Dr. Pepper soda would
improve both vitamin D and calcium intake. Eating breakfast, perhaps a fortified cereal with 1%
milk, would improve intake of folate, iron, calcium, vitamin E, and other nutrients.
DSR is 5 feet 2 inches tall and weighs 172 pounds, which gives her a BMI of 31. This
BMI puts her in the 98th percentile of BMI for age, which means she is overweight. There are
several strategies that DSR could use to reduce her weight. First, she could eliminate the Dr.
Pepper sodas or have them as an occasional treat. Substituting milk for 2 cups of the soda and
water for the rest would both reduce her calorie intake and improve nutrient intake. Second,
there is currently a high amount of fast food in her diet. If fast food is being eaten at school,
perhaps she could instead bring a sandwich from home including leaner meats, and whole grain
bread. If fast food is unavoidable (perhaps due to parental choices), educate DSR on healthier
fast food options. Third, DSR is currently sedentary, so adding moderate exercise (such as brisk
walking) 3 to 5 times per week would increase her energy expenditure and support weight loss.
NTRS 4130 Maternal and Child Nutrition
Three-Day Food Recall Assignment
Cover sheet
Your Name_________________________________________
Please check off that each of the following is included in your report. This checklist
should be the first page of the document you upload to Canvas. This checklist is for you!

Introduction
1 point

Copy of 3-day food journal
(can be printed, handwritten, etc)
1 point

Questions 1-5 (2 points each)
10 points

Growth/Weight Gain Chart
4 points

Printouts from MyFitnessPal
Print each day separately
3 points

Nicely written without grammar
or punctuation issues
6 points
__________
25 points total

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